Organization
LAKESHORE COMMUNITY HOSPITAL INC
Active
Parent organization
LAKESHORE COMMUNITY HOSPITAL INC
Other names
Lakeshore Medical Center Shelby
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESHORE COMMUNITY HOSPITAL INC
Authorized official
MRS. COLLEEN JOHNSON CMPE FABC (OFFICE MANGER)
(231) 728-5910
Entity
Organization
Contact information
Practice address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Mailing address
71 BEVIER ST, SHELBY, MI 49455-1209
(231) 861-2187
(231) 861-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
03/03/2014
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